Mary G Blackburn
InactiveIllinois license 041041396
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 041041396
- Status
- Inactive
- First issued
- April 26, 1941
- Expired
- May 31, 1984
- License holder
- Mary G Blackburn
- Entity type
- Individual
Classifications
- Registered Professional Nurse (Nursing Board) Nursing
More from the license record
- Current term began
- 04/26/1941
Contact
Mt. Pulaski, IL 62548
Logan County